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J Thorac Cardiovasc Surg 2009;137:e40-e42
© 2009 The American Association for Thoracic Surgery

Brief Communication

Successful cardiac transplant after Berlin Heart bridge in a single ventricle heart: Use of aortopulmonary shunt as a supplementary source of pulmonary blood flow

^a Division of Pediatric Cardiology, UAB School of Medicine, Birmingham, Ala
^b Division of Cardiothoracic Surgery, UAB School of Medicine, Birmingham, Ala

Received for publication January 24, 2008; accepted for publication February 7, 2008.

^_* Address for reprints: F. Bennett Pearce, MD, Division of Pediatric Cardiology, NHB 320, 619 19th St South, Birmingham, AL 35249-6852. (Email: pearce@uab.edu).

The first 20% of the full text of this article appears below.

Pulsatile ventricular assist devices, and in particular the Berlin Heart Excor infant ventricular assist device (Berlin Heart; Berlin Heart AG, Berlin, Germany), have rarely been used to support infants and small children with single ventricle.^1,2 We report successful cardiac transplantation in an infant with single ventricle supported with a Berlin Heart.

Clinical Summary

A 15-month-old boy with the diagnosis of {S,D,D} double-outlet right ventricle, mitral valve atresia, D-malposition of the great vessels, status-post pulmonary artery band in infancy, and poor systemic ventricular function was referred for transplant evaluation. A catheterization performed at the referral institution 3 months before admission documented mean central venous pressure of 25 mm Hg, poor systemic ventricular function with severe atrioventricular valve regurgitation, and bilateral iliac vein thrombosis.

At the time of arrival he was intubated, receiving infusions of dopamine, epinephrine, and milrinone. His examination was notable for anasarca. Vitals signs on admission were as follows: pulse . . . [Full Text of this Article]

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